NPIMap

Organization Active NPI

Mason Dental Center PA

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1700052255
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12463 Issued in TX
Legal business name
MASON DENTAL CENTER PA
Practice address
4455 Harry Wurzbach Rd
San Antonio, TX 78209-2402
Phone
(210) 822-4664
Fax
(210) 422-4878
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Milton Taylor Mason, DDSNPI 1720054398
Title
President
Phone
(210) 822-4664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 12463 TX Primary

Addresses

Primary practice location

4455 Harry Wurzbach Rd
San Antonio, TX 78209-2402

Mailing address

4455 Harry Wurzbach Rd
San Antonio, TX 78209-2402
Phone (210) 822-4664

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1700052255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 HARRY WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092402",
            "telephone_number": "210-822-4664",
            "fax_number": "210-822-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 HARRY WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092402",
            "telephone_number": "210-822-4664",
            "fax_number": "210-422-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-822-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.